The General Board of Discipleship

THE GENERAL BOARD OF DISCIPLESHIP

RACIAL ETHNIC LOCAL CHURCH CONCERNS PROJECTS

FUNDED 2013-2016

EVALUATION FORM

Date ______

PROJECT TITLE ______NUMBER______

PROJECT DIRECTOR ______AMOUNT FUNDED______

ADDRESS ______

TELEPHONE ( )______E-MAIL______

EVALUATOR’S SIGNATURE ______

The following information should be addressed when doing an evaluation report.

1.  Evaluate each objective/goal that was set for this event or program.

2.  What were the measurements for determining whether your objectives/goals were met?

3.  Did the project progress according to the original timeline? If not, what has necessitated a change in the timeline?

4.  a. Who was the target audience?

b. Were other audiences reached by the project?

5.  List the resources that were developed; or list the key events that were held in this project.

6.  How can this project serve as a model for future projects? What revisions are necessary?

7.  How did this project enable issues to be addressed?

8.  What was the total number of participants _____, total participants contact hours _____?

9.  What were the responses of the participants? (e.g. how will it affect or change their lives? What impact did it have on their behavior afterward? This is more than they “liked the program”.)

10.  How was the funding from GBOD used on your project? Please use the chart on the next page for the answer.

Budget Report

AMOUNT FUNDED BY GBOD: $______

EXPENSE

Program Expense / Amount Budgeted / Amount To Be Funded By Other Sources / Amount To Be Funded By GBOD / Actual Expense Used From GBOD Funding
Staff / $ / $ / Not Applicable / Not Applicable
Transportation / $ / $ / $ / $
Meals/snacks / $ / $ / $ / $
Lodging / $ / $ / $ / $
Honoraria/Leader’s fees / $ / $ / $ / $
Books/materials / $ / $ / $ / $
Supplies / $ / $ / $ / $
Publicity/promotion / $ / $ / $ / $
Multimedia Resources / $ / $ / $ / $
Activities / $ / $ / $ / $
Scholarships / $ / $ / $ / $
Equipment / $ / $ / Not Applicable / Not Applicable
Other (please list below) / $ / $ / $ / $
$ / $ / $ / $
$ / $ / $ / $
Program subtotal / $ / $ / $ / $
Administrative Expense
Staff / $ / $ / Not Applicable / Not Applicable
Facility rental / $ / $ / $ / $
Custodian / $ / $ / Not Applicable / Not Applicable
Utilities / $ / $ / $ / $
Licenses & permits / $ / $ / $ / $
Insurance / $ / $ / $ / $
Supplies / $ / $ / $ / $
Telephone / $ / $ / $ / $
Printing / $ / $ / $ / $
Postage / $ / $ / $ / $
Other (please list below) / $ / $ / $ / $
$ / $ / $ / $
$ / $ / $ / $
Administrative Subtotal / $ / $ / $ / $
GRAND TOTALS: / $ / $ / $ / $